| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.26 | $1.26 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Cigna
| Facility | $0.42 | $0.42 | $0.42 | |
United
| Professional | $1.00 | $1.05 | $1.58 |
Injection, promazine HCl, up to 25 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.26 | $1.26 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Cigna
| Facility | $0.42 | $0.42 | $0.42 | |
United
| Professional | $1.00 | $1.05 | $1.58 |